Field Care Manager Registered Nurse (RN)

Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members.

The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

Key Responsibilities:

• Identify and resolve barriers that hinder effective care.
• Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• Create plans of care.
• Communicate with internal and external stakeholders.
• Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Make decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
• Follow established guidelines/procedures.
• Visit Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel.

Requirements:

• Must reside in the state of Illinois.
• Registered Nurse in the state of Illinois without disciplinary action.
• 2+ years of experience of in-home case/care management.
• Experience working with the adult population.
• Knowledge of community health and social service agencies and additional community resources.
• Exceptional communication and interpersonal skills with the ability to quickly build rapport.
• Ability to work with minimal supervision within the role and scope.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Excellent keyboard and web navigation skills.

Preferred Qualifications:

• Bachelor of Science in Nursing (BSN).
• 3+ years of in-home assessment and care coordination experience.
• Experience with Medicare/Medicaid members.
• Experience with health promotion, coaching, and wellness.
• Previous managed care experience.
• Bilingual , English, Spanish.
• Certification in Case Management.
• Motivational Interviewing Certification and/or knowledge in area.

Additional Information:

• Workstyle/Travel: This is a Hybrid – Home position that requires occasional onsite work at the market office in Schaumburg, Illinois, as well 75 - 90% travel in the field to visit members throughout Illinois.
• Work Schedule: Typically, Monday - Friday; 8am - 5pm CST.
• Travel: Requires travel, 75-90% of the time.
• Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.

Pay Range: $71,100 - $97,800 per year.

Scheduled Weekly Hours: 40